| NPI | 1205032620 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DORINDA Q MCCLELLAN Co Owner 803-980-4343 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: SC 046306139) |
| Enumeration Date | 2007-06-22 |
| Last Update Date | 2020-08-22 |